Income Tax form 10A

[See rule 17A]

Application for registration of charitable or religious
trust or institution under section 12A(a) of the
Income -tax Act, 1961
To,
The Chief Commissioner of Income Tax,
.................................
Sir,
I, ___________ , on behalf of ___________ hereby apply for the registration of
the said trust/institution under section 12A of the Income-tax Act, 1961. The following
particulars are furnished herewith:

1. Name of the trust / institution in full [in

block letters]:

2. Address :

3. Name(s) and address(es) of author(s)/

founder(s) :

4. Date of creation of the trust or

establishment of the institution :

5. Name(s) and address(es) of trustee(s)

manager(s):
I also enclose the following documents:
1. (a) *Original / Certified copy of the instrument under which the trust/institution was
created / established, together with a copy thereof.
(b) *Original / Certified copy of document evidencing the creation of the trust or
the establishment of the institution, together with a copy thereof. (The originals, if
enclosed, will be returned).
2. Two copies of the accounts of the *trust / institution for the latest *one / two / three
years.
I undertake to communicate forthwith any alteration in the terms of the trust, or in
the rules governing the institution, made at any time hereafter.
Date:...........
Signature____________
Designation____________
Address_____________

* Strike out whichever is not applicable.

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